Needless to say, Ichisuke is naturally Zhou Yisheng.
The second assistant was given to Su Quan.
It's purely to let him gain some experience.
After passing the qualification examination, the next step is to become a regular employee.
This is the time when Su Quan needs to show more.
Minimally invasive lumbar disc surgery is compared to intracranial surgery.
The risk is much lower.
Liu Zhengqing's heart is as stable as an old dog.
Yes, if the risk is high.
He will not take the initiative to be the chief surgeon.
In the morning, before surgery.
The medical team of Liu Zhengqing, Zhou Yisheng, and Su Quan was conducting final and detailed discussions on the surgical plan.
Of course, it was mainly led by Zhou Sheng and Liu Zhengqing.
Su Quan only has the job of studying.
Perform minimally invasive surgery.
This is the general direction that has been set long ago.
But currently there are two types of minimally invasive surgeries on the lumbar spine.
One is med surgery and the other is peld surgery.
MED is somewhat similar to traditional open surgery in orthopedics.
Under the endoscope, operations such as partial resection of the ligamentum flavum, lamina and facet joints, expansion of the nerve root canal, release of adhesions around the nerve roots, and intervertebral disc removal can be completed. It is a minimally invasive and endoscopic version of open surgery.
Except that the incision is smaller, med surgery is basically the same as open surgery, and it requires a lot of damage to the muscles and bones.
Peld surgery, called percutaneous endoscopic lumbar discectomy in Chinese.
A simple description is to insert a cannula with a diameter of less than 1cm into the waist, and use a nucleus pulposus forceps to remove the protruding nucleus pulposus.
Peld surgery has minimal trauma. It does not remove muscle, ligament tissue, or bones. It just inserts a tube into it, which is just a flesh wound.
It can be said that med is semi-minimally invasive.
And peld is truly minimally invasive.
But is PELD necessarily better than MED?
This is not necessarily the case.
Those with milder conditions are more suitable for PED surgery, which is less invasive.
If this lumbar intervertebral disc problem is really severe enough to cause spondylolisthesis or spina bifida.
Don't talk about pelt.
Even med doesn't work well.
Then only traditional open surgery would be more effective.
Lao Fang’s lumbar spine problem required surgery.
But the situation is not the worst.
Take all things into consideration.
peld is more suitable for Laofang's current situation.
However, when Liu Zhengqing was discussing the specific surgical plan with Zhou Sheng.
His opinion was to do med surgery.
Of course, Liu Zhengqing also knew that PELD was more suitable for Lao Fang.
But Liu Zhengqing had his own considerations.
Med surgery has been used for a relatively long time.
Liu Zhengqing has very rich experience in this area.
So he had no problems at all with this surgery.
And peld surgery.
It is a new technology that has only become popular in recent years.
After all, Liu Zhengqing does not specialize in spinal surgery.
So he is not particularly skilled yet.
He was a little worried if the surgery would not work well.
I had no way to explain it to Zhou Sheng.
This patient was an acquaintance of Zhou Sheng.
"Dr. Zhou, let me go to med. I am familiar with this minimally invasive surgery. The recurrence rate is low."
Med treatment is indeed more thorough.
But it is more invasive and more expensive.
If the skill of the practitioner is acceptable, peld is more suitable for the old practitioner.
"Team Leader Liu, can you go to Peld?" Zhou Sheng said.
Liu Zhengqing frowned and said, "It's possible to do it, but this surgery isn't done often. I'm afraid that after doing it, the lumbar pain will come back soon. The patient is an acquaintance of yours, so it won't be easy to talk to him..."
If Liu Zhengqing can do it, then there will be no problem.
As for his worries.
That won't be a problem.
Zhou Sheng's copy shows these cutting-edge surgeries outside of God.
That's a lot of experience.
If Liu Zhengqing did not handle it well during the operation.
I can take over again without any problems.
Thinking of this, Zhou Shengsheng said with certainty: "Then don't hesitate and go to Peld. The patient is an acquaintance of mine, so there will be no problem. Besides, no one can guarantee that there will be no recurrence after lumbar disc surgery."
, your own exercise recovery in the later period is also one aspect.”
Since Zhou Yisheng has said so.
Liu Zhengqing had nothing to say.
"Well, okay, let's do Peld. But this operation also requires the support of microscopic drilling and microscopic laser systems. I'll ask them if they have an operating room."
"Well, I'm sorry to trouble you."
Although PELD is a minimally invasive surgery.
The operation takes up to one or two hours.
But the required surgical conditions are extremely high.
First of all, the sterility conditions for surgery must be extremely high, and the operating room must have at least laminar flow conditions.
Secondly, image support system, endoscope system, under-scope laser system, under-scope grinding and drilling system, etc. are all required.
Each of these devices is larger than the last.
They are usually fixed.
So it's only available in individual operating rooms.
After being contacted by Liu Zhengqing.
Make sure there is an operating room suitable for peld in the afternoon.
Therefore, the operation was also scheduled for the afternoon.
afternoon.
It's about two o'clock.
Su Quan came to the ward to take Lao Fang for surgery.
Lao Fang's current situation is better than two days ago.
I could barely force myself to walk.
Lao Fang didn't know Su Quan.
He hesitated and asked, "Where's Dr. Zhou? Didn't he do this surgery?"
Su Quan said: "Don't worry, Dr. Zhou is in the operating room. I will take you to the operating room now."
"Yeah. Thank you."
Lao Fang was supported by his son.
Follow Su Quan to the operating room.
Arrive at the door of the operating room.
Lao Fang’s son cannot enter.
Su Quan wanted to help him.
Even if Lao Fang doesn't let him, he can walk on his own.
Lao Fang entered the operating room.
Su Quan disappeared.
Lao Fang, who entered the operating room for the first time in his life, seemed a little nervous.
He didn't know what he was going to do either.
Look east and west.
There are quite a lot of equipment in this operating room.
But Lao Fang didn’t recognize any of them.
He only knew about the shadowless lamp above his head.
At this time, a nurse came over and asked Lao Fang to lie on the operating table.
Lao Fang lay down obediently.
Then, the nurse started to give Lao Fang an intravenous drip.
Lao Fang didn’t know what the nurse was doing.
Asked.
But the nurse was busy making preoperative preparations and had no time to pay attention to him.
Lao Fang lay quietly on the operating table waiting for Zhou Sheng.
A few minutes later.
Monday is not here yet.
Su Quan took Lao Fang's film and walked into the operating room.
He quickly inserted the film into the reader.
Lao Fang has not seen Zhou Sheng yet.
Although Zhou Sheng had already told him this morning.
This is only a minimally invasive surgery.
The wound was only the size of a fingernail.
But Lao Fang was still a little uneasy.
I don't know if I am too nervous.
It's still a bit cold in this operating room.
Lao Fang, who was wearing surgical clothes, felt cold all over.
He kept thinking in his heart, Xiao Zhou, when will you come?
More than 10 minutes later.
Two doctors wearing one-piece surgical gowns, sterile caps, and large masks on their faces walked in.